Individual provider Active NPI

Luis E Barbosa Texidor, OD

  • Optometrist
  • Naranjito, PR
National Provider Identifier
1508840422
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
603 Issued in PR
Practice address
Carr 164 KM 7.7
C. Comercial Jardines de Naranjito, Local 1
Naranjito, PR 00719
Phone
(787) 869-4600
Fax
(787) 869-4600
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040626000470 PR Practitioner - Optometry 3072599315 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
603PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Visual Dr Luis Barbosa Corp CurrentSince Feb 26, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 603 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr 164 KM 7.7
C. Comercial Jardines de Naranjito, Local 1
Naranjito, PR 00719

Mailing address

PO Box 61
Dorado, PR 00646-0061
Phone (787) 869-4600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2023.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508840422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460061",
            "telephone_number": "787-869-4600",
            "fax_number": "787-869-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 KM 7.7",
            "address_2": "C. COMERCIAL JARDINES DE NARANJITO, LOCAL 1",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-4600",
            "fax_number": "787-869-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA TEXIDOR",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.